Impact of improvement in preoperative oral health on nosocomial pneumonia in a group of cardiac surgery patients: a single arm prospective intervention study.
Identifieur interne : 000315 ( PubMed/Corpus ); précédent : 000314; suivant : 000316Impact of improvement in preoperative oral health on nosocomial pneumonia in a group of cardiac surgery patients: a single arm prospective intervention study.
Auteurs : Eduardo H. Bergan ; Bernardo R. Tura ; Cristiane C. LamasSource :
- Intensive care medicine [ 1432-1238 ] ; 2014.
English descriptors
- KwdEn :
- Adult, Aged, Brazil, Cardiac Surgical Procedures (adverse effects), Coronary Artery Disease (surgery), Cross Infection (complications), Cross Infection (epidemiology), Cross Infection (prevention & control), Dental Care (methods), Dental Care (standards), Female, Heart Valve Diseases (surgery), Humans, Male, Middle Aged, Oral Hygiene (education), Oral Hygiene (methods), Oral Hygiene (standards), Patient Education as Topic, Pneumonia, Ventilator-Associated (epidemiology), Pneumonia, Ventilator-Associated (prevention & control), Postoperative Complications (epidemiology), Postoperative Complications (etiology), Postoperative Complications (prevention & control), Preoperative Care (methods), Prospective Studies.
- MESH :
- geographic : Brazil.
- adverse effects : Cardiac Surgical Procedures.
- complications : Cross Infection.
- education : Oral Hygiene.
- epidemiology : Cross Infection, Pneumonia, Ventilator-Associated, Postoperative Complications.
- etiology : Postoperative Complications.
- methods : Dental Care, Oral Hygiene, Preoperative Care.
- prevention & control : Cross Infection, Pneumonia, Ventilator-Associated, Postoperative Complications.
- standards : Dental Care, Oral Hygiene.
- surgery : Coronary Artery Disease, Heart Valve Diseases.
- Adult, Aged, Female, Humans, Male, Middle Aged, Patient Education as Topic, Prospective Studies.
Abstract
To evaluate the effects of an oral health protocol on the incidence of postoperative pneumonia in patients submitted to coronary artery bypass grafting and to valve surgery.
DOI: 10.1007/s00134-013-3049-y
PubMed: 23921979
Links to Exploration step
pubmed:23921979Le document en format XML
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Lamas</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:23921979</idno><idno type="pmid">23921979</idno><idno type="doi">10.1007/s00134-013-3049-y</idno><idno type="wicri:Area/PubMed/Corpus">000315</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000315</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Impact of improvement in preoperative oral health on nosocomial pneumonia in a group of cardiac surgery patients: a single arm prospective intervention study.</title><author><name sortKey="Bergan, Eduardo H" sort="Bergan, Eduardo H" uniqKey="Bergan E" first="Eduardo H" last="Bergan">Eduardo H. Bergan</name><affiliation><nlm:affiliation>Instituto de Pesquisa Evandro Chagas IPEC, Fiocruz, Rio de Janeiro, RJ, Brazil, ehbergan@hotmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Tura, Bernardo R" sort="Tura, Bernardo R" uniqKey="Tura B" first="Bernardo R" last="Tura">Bernardo R. Tura</name></author><author><name sortKey="Lamas, Cristiane C" sort="Lamas, Cristiane C" uniqKey="Lamas C" first="Cristiane C" last="Lamas">Cristiane C. Lamas</name></author></analytic><series><title level="j">Intensive care medicine</title><idno type="eISSN">1432-1238</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Brazil</term><term>Cardiac Surgical Procedures (adverse effects)</term><term>Coronary Artery Disease (surgery)</term><term>Cross Infection (complications)</term><term>Cross Infection (epidemiology)</term><term>Cross Infection (prevention & control)</term><term>Dental Care (methods)</term><term>Dental Care (standards)</term><term>Female</term><term>Heart Valve Diseases (surgery)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Oral Hygiene (education)</term><term>Oral Hygiene (methods)</term><term>Oral Hygiene (standards)</term><term>Patient Education as Topic</term><term>Pneumonia, Ventilator-Associated (epidemiology)</term><term>Pneumonia, Ventilator-Associated (prevention & control)</term><term>Postoperative Complications (epidemiology)</term><term>Postoperative Complications (etiology)</term><term>Postoperative Complications (prevention & control)</term><term>Preoperative Care (methods)</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Brazil</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Cardiac Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cross Infection</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Oral Hygiene</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Cross Infection</term><term>Pneumonia, Ventilator-Associated</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Care</term><term>Oral Hygiene</term><term>Preoperative Care</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Cross Infection</term><term>Pneumonia, Ventilator-Associated</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Dental Care</term><term>Oral Hygiene</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Coronary Artery Disease</term><term>Heart Valve Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Education as Topic</term><term>Prospective Studies</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To evaluate the effects of an oral health protocol on the incidence of postoperative pneumonia in patients submitted to coronary artery bypass grafting and to valve surgery.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23921979</PMID><DateCompleted><Year>2014</Year><Month>09</Month><Day>08</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1238</ISSN><JournalIssue CitedMedium="Internet"><Volume>40</Volume><Issue>1</Issue><PubDate><Year>2014</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Intensive care medicine</Title><ISOAbbreviation>Intensive Care Med</ISOAbbreviation></Journal><ArticleTitle>Impact of improvement in preoperative oral health on nosocomial pneumonia in a group of cardiac surgery patients: a single arm prospective intervention study.</ArticleTitle><Pagination><MedlinePgn>23-31</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00134-013-3049-y</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate the effects of an oral health protocol on the incidence of postoperative pneumonia in patients submitted to coronary artery bypass grafting and to valve surgery.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">All patients admitted to a public cardiac surgery hospital were examined by a dentist and had a thorough dentistry anamnesis and an intraoral exam focusing on teeth, gums, and tongue. Patients were taught how to brush their teeth and tongue and how to clean their jugal and palatal membranes. Chlorhexidine gluconate (CXG) 0.12% oral rinse twice a day was used until surgery. Data on age, sex, comorbidities, oral evaluation, type of surgery, and development of pneumonia were obtained. Statistical analysis was done on these variables to evaluate the impact of the study protocol.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 226 patients were enrolled, 136 male (60.2%). The median age was 59 years. There were 123 (54.4%) patients with coronary artery disease and 103 (45.6%) with valve disease. There were 18/226 (8%) postoperative pneumonias (PP), nine in each group. Ten occurred in dentate patients and eight in edentulous ones. Oral health optimization was achieved in 208/226 (92%) of patients in the preoperative period. The presence of tongue plaque (OR 17, P < 0.001) and of poor hygiene of the total superior dentures (OR 25, P < 0.001) in the preoperative period significantly increased the chance of PP. The use of CXG 0.12% in the preoperative period (OR 0.06, P < 0.001) and on the day of surgery (OR 0.002, P < 0.001) was protective against PP. Mortality in patients without pneumonia was 9/208 (4.32%) vs. 6/19 (33.3%) in those with pneumonia. The presence of pneumonia increased the chances of death by 11 times (P < 0.001). The mean pneumonia rate in ICU in the 6 months before the study protocol was 32 per 1,000 ventilator-days, 24 during the 6-month intervention period, and 10 during the next 6 months following the study.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">PP rates were reduced using a simple and efficient protocol of dental care that improved oral hygiene in the preoperative period of cardiac surgery patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bergan</LastName><ForeName>Eduardo H</ForeName><Initials>EH</Initials><AffiliationInfo><Affiliation>Instituto de Pesquisa Evandro Chagas IPEC, Fiocruz, Rio de Janeiro, RJ, Brazil, ehbergan@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tura</LastName><ForeName>Bernardo R</ForeName><Initials>BR</Initials></Author><Author ValidYN="Y"><LastName>Lamas</LastName><ForeName>Cristiane C</ForeName><Initials>CC</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>08</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Intensive Care Med</MedlineTA><NlmUniqueID>7704851</NlmUniqueID><ISSNLinking>0342-4642</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Intensive Care Med. 2014 Jan;40(1):109-10</RefSource><PMID Version="1">23982728</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Arch Gerontol Geriatr. 2008 Sep-Oct;47(2):267-75</RefSource><PMID Version="1">17913263</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Oral Dis. 2007 Nov;13(6):508-12</RefSource><PMID 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MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001938" MajorTopicYN="N" Type="Geographic">Brazil</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006348" MajorTopicYN="N">Cardiac Surgical Procedures</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003324" MajorTopicYN="N">Coronary Artery Disease</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003428" MajorTopicYN="N">Cross Infection</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003729" MajorTopicYN="N">Dental Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006349" MajorTopicYN="N">Heart Valve Diseases</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009910" MajorTopicYN="N">Oral Hygiene</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="N">education</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010353" MajorTopicYN="N">Patient Education as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053717" MajorTopicYN="N">Pneumonia, Ventilator-Associated</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011300" MajorTopicYN="N">Preoperative Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>04</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>07</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>8</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>8</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>9</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23921979</ArticleId><ArticleId 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